Active NPI
Corinne Kaveny
- Physician Assistant
- Long Beach, CA
National Provider Identifier
1063518538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1936 E Anaheim St
Apt #207
Long Beach, CA 90813-3908 - Phone
- (970) 227-2492
- Fax
- (562) 599-2248
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Physician Assistant | 363A00000X | CA | Primary |
Addresses
Primary practice location
1936 E Anaheim St
Apt #207
Long Beach, CA 90813-3908
Mailing address
1936 E Anaheim St
Long Beach, CA 90813-3908
Phone (562) 599-2248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1063518538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133908",
"telephone_number": "562-599-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 E ANAHEIM ST",
"address_2": "APT #207",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133908",
"telephone_number": "970-227-2492",
"fax_number": "562-599-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVENY",
"first_name": "CORINNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.